I have a Ndyag 1064 qs which I am very happy with.I am looking at alex trivantage or ruby to be able to treat green inks.My question is- should I go for an alex or ruby would be better. Advantage of alex is that candela have a 532 handpeice but I am not sure if it is powerful enough to deal with reds! how would this compare to a medlite/ revlite?

I am curious to learn about this as well. I have an infrared coagulator (Redfield) and have used it for tattoo removal and the same issue has occurred, "green" ink. I can seemingly pull up everything but green is really difficult.

Choosing a true laser to treat green and light blue inks is the right decision for a physician concerned with patient care and efficacy.

It is important that you also choose your laser device based on design, not just the wavelength they utilize.

The Candela Alex TriVantage (ATV) is designed poorly. It utilizes a fiber delivery system to deliver q-switched technology.

The peak power of q-switched lasers are far too much for a fiber optic cable to handle. ATV owners experience high maintenance costs and high rates of down time because they are constantly replacing these fiberoptic cables.

If that was not enough, the pulse duration on this device is 50 nanoseconds, making it the longest pulse width in the tattoo removal laser category. This consequently labels it with the worst photo-acoustic effect and the worst "tattoo removal capability" if you will.

Ruby lasers as a medium are inherently complex. It is very important that you choose the right manufacturer if you are to use this modality.

Do not bargain shop for a q-switched Alexandrite or Ruby!

Take a look at Quanta Laser systems. They create all 3 q-switched lasers for tattoo removal. They have a long history in laser devices starting in the 60's with the creation of one of the first Ruby lasers.